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Organization
SAN PEDRO PEDIATRICS MED GRP INC
Active
Organization
SAN PEDRO PEDIATRICS MED GRP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRANK BROW MD (PRESIDENT)
(310) 832-6487
Entity
Organization
Contact information
Practice address
1294 W 6TH ST, STE #102, SAN PEDRO, CA 90731-2987
(310) 832-6487
(310) 832-6913
Mailing address
1294 W 6TH ST, STE #102, SAN PEDRO, CA 90731-2987
(310) 832-6487
(310) 832-6913
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZZ43733Z
—
CA
Enumeration date
08/20/2006
Last updated
08/22/2020
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